Alibhai M, Balasundaram I, Bridle C
Barts and the London NHS Trust, UK.
J Surg Case Rep. 2012 Aug 1;2012(8):6. doi: 10.1093/jscr/2012.8.6.
We report a case of a cutaneous sinus related to a non-vital lower premolar. The case was misdiagnosed by non-dentally trained medical staff and subsequent treatment proved ineffective. Following referral to an Oral and Maxillofacial clinic the correct cause was established. Correct treatment was followed by rapid resolution of signs and symptoms. This case highlights the need for healthcare professionals dealing with such patients to be aware of the dentition as a cause for cutaneous sinuses in the head and neck region. Those professionals not dentally qualified should enquire about dental pain and consider referral to the dental practitioner or a specialist department for further evaluation. Even those with a dental background can be fooled and a through history and examination is paramount, supplemented by special investigations were appropriate.
我们报告一例与一颗无活力的下颌前磨牙相关的皮肤窦道病例。该病例被非牙科专业培训的医务人员误诊，后续治疗证明无效。转诊至口腔颌面诊所后，明确了正确病因。正确治疗后，体征和症状迅速缓解。该病例强调，处理此类患者的医护人员需要意识到牙列可能是头颈部皮肤窦道的病因。那些没有牙科资质的专业人员应询问患者是否有牙痛，并考虑转诊给牙科医生或专科部门进行进一步评估。即使是有牙科背景的人员也可能被误导，全面的病史和检查至关重要，必要时辅以特殊检查。
